Compact foldable apparatus for ophthalmology

ABSTRACT

There is a need for robust and portable system, and apparatus for ophthalmology. We propose use of folding apparatus for ocular purposes for the first time. Our system will have a chin-rest (or face-rest or forehead rest) that can be folded so that the ocular device could be transported in a brief-case type casing.

CROSS REFERENCE TO RELATED APPLICATIONS

The instant application is a continuation application and claimspriority to pending U.S. patent application Ser. No. 13/744,415 titled“Compact Foldable Apparatus for Ophthalmology” filed on 18 Jan. 2013 NowU.S. Pat. No. 9,247,862 B2. The disclosure is hereby incorporated bythis reference in its entirety for all of its teachings. U.S. patentapplication Ser. No. 13/744,415 claims priority to provisional U.S.patent application 61/587,132 titled “A Compact Foldable Apparatus forOphthalmology”, filed on 17 Jan. 2012 by the inventors Manmohan SinghSidhu and Manish D. Kulkarni. This benefit is claimed under 35. U. S. C.§119 and the entire disclosure of the Provisional U.S. patentApplication No. 61/587,132 is incorporated here by reference.

FIELD OF TECHNOLOGY

The following description relates to a system, and an apparatus forophthalmology. The device can be used for diagnosis, evaluation ortherapy. The device can be used for ophthalmic imaging and/or diagnosis,anterior segment imaging and/or diagnosis, retinal imaging and/ordiagnosis. The apparatus can be used for the eyes of humans as well asanimals.

BACKGROUND

Most of the ophthalmic systems comprise of the chin-rests that are notfoldable. A patient, (whose eye needs to be examined), rests his/herchin on this chin-rest so that the eye can be stabilized for usefulmeasurements on the eye. While useful for stabilizing the patient's eye,these chin-rests form a significant part of the device's footprint. Sucha chin-rest is a significant hurdle for minimizing thedevice-form-factor, and building an apparatus that is compact andportable. European patent (publication number EP 1441640 A2 andEP1441640A4, filed Oct. 16, 2002 by E. Ann Elsner) discusses a foldablehead or chin-rest. However it does so very briefly without providingdesign details and only in the context of digital imaging of the retinaand anterior segment. It does not discuss optical coherencetomography/optical coherence domain reflectometry (OCDR). Proposeddesign is more detail, generic and all inclusive of various ophthalmicmodalities.

SUMMARY

The invention discloses a foldable system, and a foldable apparatus forophthalmology. The apparatus can be used for diagnosis, evaluation ortherapy. The device can be used for ophthalmic imaging and/or diagnosis,anterior segment imaging and/or diagnosis, retinal imaging and/ordiagnosis. The apparatus can be used for the eyes of humans as well asanimals. In the proposed system, the chin-rest can be folded to save thespace when the device is not in operation. This saves space while thedevice is in storage or under transportation.

In one embodiment, the apparatus comprises of an ophthalmic systemcomprising of at least one means to hold the face of a patient (i.e.,face-holder), a diagnostic component to perform diagnosis or evaluationof the eye or a therapeutic component for the treatment of the eye andthe means to fold the face-holder. Such a device can be termed as a“foldable face-holder apparatus”.

In another embodiment, the face-holder can be folded at least once andpossibly multiple times.

In another embodiment the face-holder comprises of a resting pad to restforehead (i.e., forehead rest).

In another embodiment, the face-holder comprises of a resting pad torest the chin (i.e., chin-rest).

In another embodiment, the face-holder can be folded by collapsingmulti-stage telescopic legs.

In another embodiment, the face-holder comprises of a chin-rest and aforehead rest and only the portion between the chin-rest and theinstrument base is collapsible using multi-stage telescopic legs.

In another embodiment, the face-holder comprises of a chin-rest and aforehead rest and only the portion below the chin-rest and theinstrument base is collapsible using multi-stage telescopic legs.

In one more embodiment, there is a folding hinge at or near thechin-rest.

In an embodiment, there is a folding hinge for the face holder at ornear the instrument base.

In another embodiment, the proposed ophthalmic system comprises of atleast one means to hold the face of a patient (i.e., face-holder) andthe means to eject or remove the face-holder from the base of theinstrument.

In another embodiment, the chin-rest can be removed or ejected using abutton from the base of the instrument.

In another embodiment, the chin-rest is attached to the base of theinstrument. In some other embodiments, the chin-rest-attachment isremovable.

In another embodiment, the chin-rest is attached to the pole of theface-holder. and the chin-rest can be ejected or removed from the poleof the face-holder.

In one more embodiment, an ophthalmic system comprises of at least onemeans to hold the face of a patient (i.e., face-holder), an oculardiagnostic or therapeutic component and the means to remove theface-holder from the instrument and attach it to the patient's face.

In another embodiment, the face-holder is attached to the eyes using ahead-band. In some embodiments, face-holder comprises of a chin-rest.

In some other embodiments, the face-holder is attached to the eyes usingspectacles-type assembly. The eye-piece may be moved from one eye to theother for analyzing both the eyes.

In some embodiments, the apparatus is used for ophthalmic imaging.

In some other embodiments, the apparatus is used for optical coherencetomography (OCT) imaging.

In some other embodiments, the foldable face-holder apparatus comprisesof optical coherence tomography (OCT) imaging apparatus and the OCTapparatus comprises of a spectrometer to implement spectral-domain OCT.

In some other embodiments, the foldable face-holder apparatus comprisesof optical coherence tomography (OCT) imaging apparatus and the OCTapparatus comprises of a tunable wavelength (or frequency) light sourceto implement swept-source OCT.

In some other embodiments, the foldable face-holder apparatus comprisesof optical coherence tomography (OCT) imaging apparatus and the OCTapparatus comprises of a depth-scanning reference mirror to implementtime-domain OCT.

In some other embodiments, the apparatus comprises of means to shift theeye-piece (which is optics used to focus on the eye) towards the left orright eye.

In some embodiments, the eye-piece is shifted using a precision slide.

In some other embodiments, the eye-piece is shifted using a sliding rod.

In some embodiments, the eye-piece is positioned using a micro-precisionslide.

In some embodiments, the foldable face-holder apparatus comprises of themeans for an eye-fixation target.

In some embodiments, the apparatus comprises of fiber or cables runningfrom the instrument to the eye.

In some embodiments, the apparatus comprises of a screen to displaymeasurement or imaging results.

In some other embodiments the display screen is a touch-sensitivescreen.

In some embodiments, the base of the apparatus comprises of electronicsand optical components.

In some embodiments, all the apparatus components reside in abrief-case.

In some embodiments, the brief-case has wheels and/or a handle to assisttransportation.

In some embodiments, the apparatus operates on batteries. In some otherembodiments, these batteries can be rechargeable batteries. Thebatteries can be charged independently or by connecting a charger to theapparatus. The charger can source power from the electrical wiring in abuilding or any other power source. The charger can also source powerfrom a vehicle such as a car or a bus or a truck or a van. The chargercan also source power from the vehicle's engine.

In some embodiments, the apparatus evaluates or scans the retina and/orthe posterior segment. In some other embodiments, the apparatusevaluates or scans the cornea and/or anterior segment.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 depicts a simplified version of the “foldable face-holderapparatus” 100.

FIG. 2 depicts the folded version of the “foldable face-holderapparatus” 100.

FIG. 3 illustrates telescopic legs.

DETAILED DESCRIPTION

The instant disclosure describes a technological advancement of foldableophthalmic apparatus and system. Such a system would be compact,portable and would save storage space.

FIG. 1 depicts a simple version of the “foldable face-holder apparatus”100. The apparatus comprises of an ophthalmic system comprising of atleast one means to hold the face of a patient (i.e., face-holder 102), adiagnostic component to perform diagnosis or evaluation or a therapeuticcomponent to perform treatment of the eye and the means to fold theface-holder (e.g., hinge 114). Thus the apparatus and system willcomprise of at least one of diagnostic, evaluation and therapeuticcomponents.

In some embodiments, the face-holder can be folded at least once andpossibly multiple times. In some embodiments, the face-holder comprisesof a resting pad to rest forehead (i.e., forehead rest 110). In anotherembodiment, the face-holder comprises of a resting pad to rest chin(i.e., chin-rest 104).

In another embodiment of the instant apparatus, the face-holder can befolded by collapsing multi-stage telescopic legs. In another embodiment,the face-holder comprises of a chin-rest 104 and a forehead rest 110 andonly the portion between the chin-rest 104 and the instrument base 118is collapsible using multi-stage telescopic legs (FIG. 3).

In some other embodiments, the apparatus comprises of an eye-piece 112which is optics and mechanics used to evaluate or treat the eye.

In some embodiments, the apparatus comprises of a screen 106 to displaymeasurement or imaging results. Thus, the display can hostdiagnostic-assisting results. In some other embodiments the displayscreen 106 is a touch-sensitive screen. In some other embodiments, thedisplay could be 3-D showing 3-dimensional features of the data or themeasurements or anatomic features.

In some embodiments, the apparatus comprises of a keyboard 108 tocontrol the apparatus. The keyboard 108 can optionally comprise of amouse or a controlling ball or a joystick. In some other embodiments thekeyboard 108 is a touch-sensitive screen.

In some embodiments, the eye-piece is shifted using a precision slide toevaluate or treat the left or right eye. In some other embodiments, theeye-piece is shifted using a sliding rod. In some embodiments, theeye-piece is positioned using a micro-precision slide.

In some embodiments, the eye-piece has railings to move it forward orbackward with respect to the patient's eye.

In some embodiments, the foldable face-holder apparatus comprises of themeans for an eye-fixation target. These means could comprise of adisplay inside the eye-piece 112. The display could have an eye-fixationtarget as desired by the operator of the apparatus.

In some embodiments, the base 118 of the apparatus comprises ofelectronics and optical components. In some other embodiments of theinvention, the apparatus comprises of fiber or cables running from thebase 118 to the eye-piece 112.

FIG. 2 depicts the folded version of the “foldable face-holderapparatus” 100. It is folded at the hinge 114. In some embodiments, theface-holder can be folded at least once and possibly multiple times. Inanother embodiment of the instant apparatus, the face-holder can befolded by collapsing multi-stage telescopic legs. In another embodiment,the face-holder comprises of a chin-rest 104 and a forehead rest 110 andonly the portion between the chin-rest 104 and the instrument base 118is collapsible using multi-stage telescopic legs as illustrated in FIG.3. The collapsed legs are shown as 302 and elongated legs are shown as304 in FIG. 3.

In one more embodiment, there is a folding hinge 114 at or near thechin-rest 104.

In another embodiment, the proposed ophthalmic system comprises of atleast one means to hold the face of a patient (i.e., face-holder) andthe means to eject (using a button) or remove the face-holder from thebase of the instrument.

In another embodiment, the chin-rest can be removed or ejected from thebase of the instrument. In another embodiment, the chin-rest is attachedto the base of the instrument. In some other embodiments, thechin-rest-attachment is removable.

In some embodiments, all the apparatus components reside in a brief-caseas shown in FIG. 1. In some embodiments, the brief-case has wheelsand/or a handle to assist transportation.

In some embodiments, the apparatus operates on batteries. In some otherembodiments, these batteries can be rechargeable batteries. Thebatteries can be charged independently or by connecting a charger to theapparatus. The charger can source power from the electrical wiring in abuilding. The charger (termed a vehicle charger) can also source powerfrom a vehicle such as a car or a bus or a truck or a van. The chargercan also source power from the vehicle's engine.

In some embodiments, the apparatus could comprise of a projector(sometimes termed pico-projector) to display the results on a wall or ascreen.

In some embodiments, the apparatus is used for ophthalmic imaging.Ophthalmic imaging includes (but does not limit to) retinal imaging andanterior segment.

In some other embodiments, the apparatus is used for optical coherencetomography (OCT) imaging (as described in Huang et al 1991, Fercher1996, U.S. Pat. No. 5,321,501). Optical coherence domain reflectometry(OCDR) is a 1-dimensional measurement system as explained in (US patentU.S. Pat. No. 5,202,745), and OCT is a 2-D extension of OCDR (asdescribed in Huang et al 1991, Fercher 1996, U.S. Pat. No. 5,321,501).Since OCT and OCDR are similar, sometimes we would refer these asOCT-OCDR systems. The diagnostic components or systems based onOCT-OCDR, will be called as OCT-OCDR based diagnostic components.

In some other embodiments, the foldable face-holder apparatus comprisesfor optical coherence tomography (OCT) imaging apparatus and the OCTsystem apparatus comprises of a spectrometer to implementspectral-domain OCT (as described in De Boer et al 2003, Wojtkowski etal 2004, Hausler & Lindner J. Biomed. Opt. 3(1), 21-31 (Jan. 01, 1998)).

In some other embodiments, the foldable face-holder system is used foroptical coherence tomography (OCT) imaging and the OCT system comprisesof a tunable wavelength (or frequency) light source to implementswept-source OCT (as described in S R Chinn, E A Swanson, J GFujimoto—Optics Letters, 1997; M A Choma, M V Sarunic, C Yan etal—Optics Express, 2003; Y Yasuno, V D Madjarova, S Makita, M Akiba etat—Optics Express 2005).

In some other embodiments, the foldable face-holder system is used foroptical coherence tomography (OCT) imaging and the OCT system comprisesof a depth-scanning reference mirror to implement time-domain OCT (asdescribed in Huang et al 1991, Fercher 1996, U.S. Pat. No. 5,321,501).

In some embodiments, compact, portable OCT-OCDR systems/apparatus (asdescribed in U.S. patent application Ser. Nos. 12/706,717, 12/732,484,13/723,006, 12/941,991) can be used as these systems/apparatus caneasily fit in a box or a briefcase.

Various materials can be used to construct the foldable face-holderapparatus. Some examples are (not by limitation) 6061 aluminum alloy(i.e., UNS A96061) and its various varieties including (but not limitedto) 6061-O, 6061-T4, 6061-T4 etc.; Nickel-chromium alloys such asINCONEL® (a registered trademark of the INCO family of companies) alloy600; stainless steel and related alloys (e.g., UNS N02200, UNS N02201,UNS N04400, UNS N06600, UNS N06625, UNS N08800, UNS N08825, UNS N10276,UNS N08020, etc.) heat and chemical resistant polymers such as TOPAS®COC (by Topas Advanced Polymers). Acetal homopolymer such as Dupont'sDelrin® can also be used as these polymers are tough, can sustain highstress and strain and are strong, and yet easily moldable.

Some more materials that can be used to construct the foldableface-holder apparatus include (not by limitation) High-densitypolyethylene (HDPE), Polyvinyl chloride (PVC), Acrylonitrile butadienestyrene (ABS), Polyether ether ketone (PEEK).

The apparatus can be built (by way of example and not by limitation) bythe process of reaction injection molding, which can producehigh-strength, lightweight and flexible parts using thermosettingpolymers such as polyurethane.

The apparatus could also be built (by way of example and not bylimitation) by structural reaction injection molding (SRIM), where fibermeshes are used as a reinforcing agent.

The apparatus could also be built (by way of example and not bylimitation) by injection molding, using thermoplastics or thermosettingplastics.

The apparatus could also be built (by way of example and not bylimitation) by normal machining and assembly.

In some embodiments, the ophthalmic system comprises of at least onemeans to hold the face of a patient (i.e., face-holder), an oculardiagnostic or therapeutic component and the means to remove theface-holder 112 from the apparatus and attach to the patient's face. Theface-holder's eye-piece 112 is attached to the eyes using a head-band.

In some other embodiments, the face-holder is attached to the eyes usingspectacles-type assembly. The eye-piece may be moved from one eye to theother for analyzing both the eyes.

The “foldable face-holder apparatus” and related systems could be usedfor fundus photography(httn://en.wikipedia.org/wiki/Fundus_photography), scanning retinalimaging (e.g., T R Friberg, A Pandya et al 2003), perimetry, cornealtopography, auto-refractors, and many other ophthalmic modalities.

The invention claimed is:
 1. An ophthalmic system comprising of at leastone means to hold the face of a patient called a face-holder; an opticalcoherence domain reflectometry based component; at least one lightsource; at least one cable; a base; an eye-piece; the eye-piece furthercomprising of optics and mechanics; a means to fold the face-holder;wherein the face-holder can be folded at least once; and the face-holderfurther comprises of a forehead rest, which is a resting pad to rest theforehead; and the face-holder further comprises of a chin-rest, which isa resting pad to rest the chin; and the system fits in at least one of abox and a briefcase; wherein the patient is at least one of an animaland a human.
 2. The system of claim 1; wherein the system furthercomprises of optical coherence tomography.
 3. The system of claim 1;wherein the system further comprises of fundus photography.
 4. Thesystem of claim 1; wherein the light source is a tunable wavelengthlight source.
 5. The system of claim 1; further comprising of adepth-scanning reference mirror.
 6. The system of claim 1; wherein atleast one part of the system is built using at least one of machining,structural reaction injection molding, reaction injection molding,injection molding, thermoplastics and thermosetting plastics.
 7. Thesystem of claim 1; further comprising of at least one of a projector anda screen to display.
 8. An ophthalmic system comprising of at least oneof diagnostic and therapeutic components; at least one means to hold theface of a patient called a face-holder; the face-holder comprising of aspectacles-type assembly; the spectacles-type assembly is furtherattached to eyes; at least one light source; at least one cable; a base;an eye-piece; the eye-piece further comprises of optics; and the systemfits in at least one of a box and a briefcase; wherein the patient is atleast one of an animal and a human.
 9. The system of claim 8; whereinthe eye-piece in the spectacles-type assembly may be moved from one eyeto the other.
 10. The system of claim 8; further comprising of a meansto eject the face-holder from the base of the system.
 11. The system ofclaim 8; further comprising of at least one of ophthalmic imaging,perimetry, corneal topography, auto-refractors, fundus photography,scanning retinal imaging, optical coherence domain reflectometry,optical coherence tomography, and a therapeutic component.
 12. Thesystem of claim 8; further comprising of at least one part made using atleast one of High-density polyethylene, Polyvinyl chloride,Acrylonitrile butadiene styrene, Polyether ether ketone, aluminum alloy,various varieties of aluminum alloy, Nickel-chromium alloys, stainlesssteel, stainless steel related alloys, heat and chemical resistantpolymers, and Acetal homopolymer.
 13. The system of claim 8; wherein thebrief-case further comprises of at least one of wheels and a handle toassist transportation.
 14. The system of claim 8; further comprises ofat least one of batteries and rechargeable batteries.
 15. An ophthalmicapparatus comprising of at least one means to hold the face of a patientcalled a face-holder; at least one therapeutic component to performtreatment on an eye; an eye-piece; the eye-piece further comprises ofoptics and mechanics; at least one cable; a foldable face-holder;wherein the face-holder can be folded at least once; a screen to displaymeasurement results; a base; and the base further comprises of at leastone of electronics and optical components; wherein the patient is atleast one of an animal and a human.
 16. The apparatus of claim 15;wherein the display screen is a touch-sensitive screen.
 17. Theapparatus of claim 15; wherein the apparatus operates on at least one ofbatteries and rechargeable batteries.
 18. The apparatus of claim 15;further comprising of a vehicle charger to charge the batteries bysourcing power from a vehicle.
 19. The apparatus of claim 15; furthercomprising of optical coherence domain reflectometry.
 20. The apparatusof claim 15; further comprising of a diagnostic component.